REPUBLIC OF THE PHILIPPINES}

DONE: IN THE CITY OF BAGUIO } S.S.

x ------------------------------------------- x

AFFIDAVIT OF DISCREPANCY OF DATE OF MARRIAGE OF PARENTS

I, EOWYN ROSE D. MADRINGAL, of legal age, Filipino citizen, single , and a resident of #05
Upper Kitma, Baguio City, Philippines having been duly sworn in accordance with law, do hereby depose
and state:

1. That I was born to the spouses THEODEN W. MADRINGAL and TERESA D. MADRINGAL on
October 29, 1973 in Baguio General Hospital, Baguio City Philippines as evidenced by the
Certificate of Live Birth issued by the Civil Registrar of Baguio City;

2. That however, in the said Certificate of Live Birth, the date of marriage of my parents was
erroneously written as "May 8,1960” instead of the true and correct date May 28, 1960" as
evidenced by the Certificate of Marriage of my parents issued by the Civil Registrar of Baguio
City, hereto attached as Annex "A";

3. That said discrepancy in my Certificate of Live Birth was an error done inadvertently;

4. That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this 23rd day of November 2012, in the
City of Baguio, Philippines.
_________________________
EOWYN ROSE D. MADRINGAL
Affiant

SUBSCRIBED AND SWORN to before me, in the City of Baguio, Philippines, this 23rd day of
November 2012, by Eowyn Rose D. Madringal who presented to me her Social Security System Card No.
179-444-885 as competent proof of her identity, and who is the same person who personally signed
before me the foregoing affidavit and acknowledged that she executed the same.

MARIA PHOENIX M. CHOA

Notary Public
Until December 31, 2014
Unit 3A, 3rd Floor, Porta Vaga Building,
Session Road, Baguio City
(074) 422-3287/ 09276435749
PTR No. 108083; 1-9-12/Baguio City
Roll of Attorney No. 101114; 1-9-12/
Baguio City
IBP Lifetime Membership No. 0821057;
Baguio-Benguet
MCLE No. III-0001178, 07-27-11
Commission Serial No. 75-NC-11 (R)
TIN: 922-596-319

Doc. No. 7;
Page No. 2;
Book No. I;
Series of 2012.